# SOUTH SHORE GYNECOLOGY OBSTETRICS ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255439113
- **Authorized official:** MRS. PAULA S HIRT M.D. (OWNER)
- **Authorized official phone:** (631) 277-5800

## Contact information

- **Practice address:** 83 WEST MAIN STREET, EAST ISLIP, NY 11730-2319
- **Practice address phone:** (631) 277-5800
- **Practice address fax:** (631) 277-1936
- **Mailing address:** 83 WEST MAIN STREET, EAST ISLIP, NY 11730-2319
- **Mailing address phone:** (631) 277-5800
- **Mailing address fax:** (631) 277-1936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 05/25/2011